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  1. Book ; Online ; E-Book: Comprehensive geriatric assessment

    Pilotto, Alberto / Martin, Finbarr C.

    (Practical issues in geriatrics)

    2018  

    Author's details Alberto Pilotto, Finbarr C. Martin editors
    Series title Practical issues in geriatrics
    Keywords Medicine ; General practice (Medicine) ; Nephrology ; Geriatrics ; Oncology ; Surgery
    Subject code 618.97 ; 612.67
    Language English
    Size 1 Online-Ressource (VIII, 181 Seiten), Illustrationen
    Publisher Springer
    Publishing place Cham
    Publishing country Switzerland
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    HBZ-ID HT019583021
    ISBN 978-3-319-62503-4 ; 9783319625027 ; 3-319-62503-9 ; 3319625020
    DOI 10.1007/978-3-319-62503-4
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Book: Management of GI diseases in the elderly

    Pilotto, Alberto

    (Best practice & research : Clinical gastroenterology ; 23,6)

    2009  

    Author's details A. Pilotto, guest ed
    Series title Best practice & research : Clinical gastroenterology ; 23,6
    Best practice & research
    Best practice & research ; Clinical gastroenterology
    Collection Best practice & research
    Best practice & research ; Clinical gastroenterology
    Language English
    Size S. 792 - 923 : graph. Darst.
    Publisher Elsevier
    Publishing place Kidlington, Oxford
    Publishing country Great Britain
    Document type Book
    HBZ-ID HT016185509
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    Se 1098 -23,6- verfügbar in Königswinter Königswinter

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  3. Book: Management of gastrointestinal diseases in the elderly

    Pilotto, Alberto

    (Digestive diseases ; 25,2)

    2007  

    Author's details ed. Alberto Pilotto
    Series title Digestive diseases ; 25,2
    Collection
    Language English
    Size S. 112 - 165 : Ill.
    Publisher Karger
    Publishing place Basel u.a.
    Publishing country Switzerland
    Document type Book
    HBZ-ID HT015086277
    ISBN 978-3-8055-8273-5 ; 3-8055-8273-0
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    Zs A 1853 -25,2- not available for loan Zeitschriften-Lesesaal

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  4. Book ; Online: Aging and the gastrointestinal tract

    Pilotto, Alberto

    outlining a multidisciplinary approach

    2003  

    Author's details vol. eds.: Alberto Pilotto
    Language English
    Size VIII + 218 S.
    Publisher Karger
    Publishing place Basel
    Publishing country Switzerland
    Document type Book ; Online
    HBZ-ID TT050388022
    ISBN 978-3-318-00955-2 ; 3-318-00955-5
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  5. Book: Aging and the gastrointestinal tract

    Pilotto, Alberto

    20 tabels

    (Interdisciplinary topics in gerontology ; 32)

    2003  

    Author's details Vol. ed. Alberto Pilotto
    Series title Interdisciplinary topics in gerontology ; 32
    Collection
    Keywords Gastrointestinal Diseases ; Aging / physiology ; Gastrointestinal System ; Aged ; Alter ; Gastrointestinale Krankheit
    Subject Magen-Darm-Krankheit ; Magen-Darm-Kanal ; Alter Mensch ; Betagter ; Senioren ; Senior
    Language English
    Size VIII, 218 S.: Ill., graph. Darst., 18 schw.-w. u. 2 farb. Abb., 20 schw.-w. Tab., 245 mm x 175 mm
    Publisher Karger
    Publishing place Basel u.a.
    Publishing country Switzerland
    Document type Book
    HBZ-ID HT013754027
    ISBN 3-8055-7555-6 ; 978-3-8055-7555-3
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    2003 A 2740 order for loan Magazin

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  6. Article: The challenge of the multifaceted prognosis in the older people and the Multidimensional Prognostic Index.

    Mattace-Raso, Francesco / Pilotto, Alberto

    European geriatric medicine

    2021  Volume 12, Issue 2, Page(s) 223–226

    MeSH term(s) Aged ; Geriatric Assessment ; Humans ; Independent Living ; Prognosis
    Language English
    Publishing date 2021-02-23
    Publishing country Switzerland
    Document type Editorial ; Comment
    ZDB-ID 2556794-9
    ISSN 1878-7657 ; 1878-7649
    ISSN (online) 1878-7657
    ISSN 1878-7649
    DOI 10.1007/s41999-021-00457-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: A multidimensional approach to older patients during COVID-19 pandemic: a position paper of the Special Interest Group on Comprehensive Geriatric Assessment of the European Geriatric Medicine Society (EuGMS).

    Pilotto, Alberto / Custodero, Carlo / Palmer, Katie / Sanchez-Garcia, Elisabet Maria / Topinkova, Eva / Polidori, Maria Cristina

    European geriatric medicine

    2023  Volume 14, Issue 1, Page(s) 33–41

    Abstract: Purpose: The COVID-19 pandemic has been a dramatic trigger that has challenged the intrinsic capacity of older adults and of society. Due to the consequences for the older population worldwide, the Special Interest Group on Comprehensive Geriatric ... ...

    Abstract Purpose: The COVID-19 pandemic has been a dramatic trigger that has challenged the intrinsic capacity of older adults and of society. Due to the consequences for the older population worldwide, the Special Interest Group on Comprehensive Geriatric Assessment (CGA) of the European Geriatric Medicine Society (EuGMS) took the initiative of collecting evidence on the usefulness of the CGA-based multidimensional approach to older people during the COVID-19 pandemic.
    Methods: A narrative review of the most relevant articles published between January 2020 and November 2022 that focused on the multidimensional assessment of older adults during the COVID-19 pandemic.
    Results: Current evidence supports the critical role of the multidimensional approach to identify older adults hospitalized with COVID-19 at higher risk of longer hospitalization, functional decline, and short-term mortality. This approach appears to also be pivotal for the adequate stratification and management of the post-COVID condition as well as for the adoption of preventive measures (e.g., vaccinations, healthy lifestyle) among non-infected individuals.
    Conclusion: Collecting information on multiple health domains (e.g., functional, cognitive, nutritional, social status, mobility, comorbidities, and polypharmacy) provides a better understanding of the intrinsic capacities and resilience of older adults affected by SARS-CoV-2 infection. The EuGMS SIG on CGA endorses the adoption of the multidimensional approach to guide the clinical management of older adults during the COVID-19 pandemic.
    MeSH term(s) Humans ; Aged ; Geriatric Assessment/methods ; Pandemics ; Public Opinion ; COVID-19/epidemiology ; SARS-CoV-2
    Language English
    Publishing date 2023-01-19
    Publishing country Switzerland
    Document type Review ; Journal Article
    ZDB-ID 2556794-9
    ISSN 1878-7657 ; 1878-7649
    ISSN (online) 1878-7657
    ISSN 1878-7649
    DOI 10.1007/s41999-022-00740-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Biomarkers for risk stratification and antibiotic stewardship in elderly patients.

    Falcone, Marco / Bauer, Michael / Ferrer, Ricard / Gavazzi, Gaëtan / Gonzalez Del Castillo, Juan / Pilotto, Alberto / Schuetz, Philipp

    Aging clinical and experimental research

    2023  Volume 35, Issue 5, Page(s) 925–935

    Abstract: Purpose: Optimal treatment of infections in the elderly patients population is challenging because clinical symptoms and signs may be less specific potentially resulting in both, over- and undertreatment. Elderly patients also have a less pronounced ... ...

    Abstract Purpose: Optimal treatment of infections in the elderly patients population is challenging because clinical symptoms and signs may be less specific potentially resulting in both, over- and undertreatment. Elderly patients also have a less pronounced immune response to infection, which may influence kinetics of biomarkers of infection.
    Methods: Within a group of experts, we critically reviewed the current literature regarding biomarkers for risk stratification and antibiotic stewardship in elderly patients with emphasis on procalcitonin (PCT).
    Results: The expert group agreed that there is strong evidence that the elderly patient population is particularly vulnerable for infections and due to ambiguity of clinical signs and parameters in the elderly, there is considerable risk for undertreatment. At the same time, however, this group of patients is particularly vulnerable for off-target effects from antibiotic treatment and limiting the use of antibiotics is therefore important. The use of infection markers including PCT to guide individual treatment decisions has thus particular appeal in geriatric patients. For the elderly, there is evidence that PCT is a valuable biomarker for assessing the risk of septic complications and adverse outcomes, and helpful for guiding individual decisions for or against antibiotic treatment. There is need for additional educational efforts regarding the concept of "biomarker-guided antibiotic stewardship" for health care providers caring for elderly patients.
    Conclusion: Use of biomarkers, most notably PCT, has high potential to improve the antibiotic management of elderly patients with possible infection for improving both, undertreatment and overtreatment. Within this narrative review, we aim to provide evidence-based concepts for the safe and efficient use of PCT in elderly patients.
    MeSH term(s) Humans ; Aged ; Bacterial Infections/diagnosis ; Bacterial Infections/drug therapy ; Antimicrobial Stewardship ; Procalcitonin ; Anti-Bacterial Agents/adverse effects ; Biomarkers ; Risk Assessment
    Chemical Substances Procalcitonin ; Anti-Bacterial Agents ; Biomarkers
    Language English
    Publishing date 2023-03-30
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 2104785-6
    ISSN 1720-8319 ; 1594-0667
    ISSN (online) 1720-8319
    ISSN 1594-0667
    DOI 10.1007/s40520-023-02388-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3343: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  9. Article ; Online: The PRO-HOME Project. A multicomponent intervention for the protected discharge from the hospital of multimorbid and polytreated older individuals by using innovative technologies: A pilot study.

    Pilotto, Alberto / Volta, Erica / Barbagelata, Marina / Argusti, Alessandra / Camurri, Antonio / Casiddu, Niccolò / Berutti-Bergotto, Carlo / Custodero, Carlo / Cella, Alberto

    Health expectations : an international journal of public participation in health care and health policy

    2023  

    Abstract: Backgroud: Discharge planning from the hospital of frail older patients is an important step to avoid inappropriate long-stay hospitalizations and to prevent the risks related to the prolonged hospitalization. In this frame, we developed an experimental ...

    Abstract Backgroud: Discharge planning from the hospital of frail older patients is an important step to avoid inappropriate long-stay hospitalizations and to prevent the risks related to the prolonged hospitalization. In this frame, we developed an experimental trial-'PRO-HOME', a multicomponent programme of interventions for multimorbid and polytreated hospitalized older patients.
    Aim: The main aim of the study was to develop a protected discharge facility using a mini apartment equipped with advanced architectural and technological components to reduce the length of hospital stay of older participants (aged 65+ years old) admitted to the hospital for an acute event, deemed stable and dischargeable.
    Materials and methods: This is a pilot randomized controlled study, comparing 30 hospitalized participants included in a multidimensional, transitional care programme based on information and communication technologies to 30 patients in standard usual care until hospital discharge.
    Results: We presented the study design of the PRO-HOME programme, including architectural and technological components, the enrolment procedures, the components of the intervention that is physical activity, cognitive training and life-style education and the evaluation method of the intervention based on the Comprehensive Geriatric Assessment to explore the changes in the individual domains that are target of the multicomponent intervention.
    Conclusions: The final results will suggest whether the PRO-HOME programme represents a useful and feasible intervention to reduce the length of hospital stay of multimorbid and polytreated hospitalized older patients and improve their physical and cognitive performances and overall quality of life.
    Patient or public contribution: Due to the characteristics of the population of interest of the PRO-HOME study, we involved in the study design and programme of the activities the participants enrolled in a previous smart home-based project named MoDiPro carried-out during a 3-year period. The elderly participants from the local population involved were asked, by means of focus groups, for feedback on their experience in MoDiPro, and their suggestions were integrated into the design phase of the current PRO-HOME project. The focus groups included open group interviews with a qualitative collection of the patients' feedback so that the participants could interact with each other.
    Language English
    Publishing date 2023-10-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 2119434-8
    ISSN 1369-7625 ; 1369-6513
    ISSN (online) 1369-7625
    ISSN 1369-6513
    DOI 10.1111/hex.13872
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5896: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  10. Article ; Online: Management of gastrointestinal diseases in the elderly.

    Pilotto, Alberto

    Best practice & research. Clinical gastroenterology

    2009  Volume 23, Issue 6, Page(s) 791–792

    MeSH term(s) Age Factors ; Aged ; Aged, 80 and over ; Gastroenterology ; Gastrointestinal Diseases/diagnosis ; Gastrointestinal Diseases/epidemiology ; Gastrointestinal Diseases/physiopathology ; Gastrointestinal Diseases/therapy ; Health Services for the Aged ; Humans ; Predictive Value of Tests ; Treatment Outcome
    Language English
    Publishing date 2009
    Publishing country Netherlands
    Document type Introductory Journal Article
    ZDB-ID 2048181-0
    ISSN 1532-1916 ; 1521-6918
    ISSN (online) 1532-1916
    ISSN 1521-6918
    DOI 10.1016/j.bpg.2009.10.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Se 1098: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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